退伍军人自杀未遂或死亡前的最后一次临床接触的特点
Amanda M Raines1,2,3, Bryce K Clausen4, Joseph W Boffa1,2,3
1Southeast Louisiana Veterans Health Care System, New Orleans, LA 70119, United States.
Military medicine
|June 12, 2025
概括
医疗保健提供者对自杀风险进行查,并利用安全计划,特别是对退伍军人的非心理健康设置,可以改善自杀预防工作. 对于处于风险的个人来说,一致的后续沟通至关重要.
科学领域:
- 公共卫生 公共卫生
- 退伍军人事务 医疗保健 医疗保健
- 自杀学是一种自杀学.
背景情况:
- 自杀是美国主要可预防的死亡原因,不成比例地影响退伍军人.
- 几乎一半的退伍军人死于自杀,在事件发生之前就参与了医疗保健服务,这表明错过了干预机会.
研究的目的:
- 检查那些死于自杀或自杀未遂的退伍军人的特点.
- 确定医疗保健系统中预防自杀的干预关键点.
主要方法:
- 使用自杀预防应用网络 (SPAN) 数据库,分析了497名退伍军人在10年内发生的569起自杀事件.
- 数据包括人口统计数据,事件特征,医疗保健参与以及之前的自杀企图历史.
主要成果:
- 大多数事件都是自杀企图 (88.2%),过量服用和使用枪支是常见的方法.
- 三分之二的退伍军人在事件发生后的30天内接受了医疗保健,通常在精神卫生服务之外.
- 超过一半的人以前曾尝试过;尽管有记录的安全计划,但在最近的一半遭遇中没有讨论过自杀.
结论:
- 医疗保健提供者,包括非精神卫生机构的医疗保健提供者,应查自杀风险,并实施预防策略.
- 在所有医疗保健机构中整合一致的安全规划和后续沟通可以加强对有风险的退伍军人的支持.
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